论文部分内容阅读
目的：讨论前列腺增生（BPH）合并膀胱结石治疗方法和疗效。方法回顾39例前列腺增生合并膀胱结石的临床资料,分别采取耻骨上小切口膀胱切开取石和钬激光碎石等治疗方法，然后经尿道前列腺等离子双极电切术(TUPKP)。结果对于前列腺增生合并膀胱结石患者的治疗,根据结石大小、质地分别选用膀胱切开取石和钬激光碎石,均治愈。结论前列腺增生合并膀胱结石可以选用多种微创手术治疗,TUPKP联合钬激光治疗前列腺增生合并膀胱结石具有出血少、创伤小、并发症少、康复快、住院时间短的特点。“,”Objective To explore an ef ective treatment for benign prostatic hyperplasia complicated with blader stones. Methods Using holmium laser lithotripsy and bipolar plasmakinetic technique in 39 cases with bladdstones and benign prostatic hyperplasia. Results The mean time of operation was 60 minutes ranging from 35~80 minutes.Urethral catheter was withdrawn in 3 ~5 days of postoperation and voiding was easy and smooth.No had complications suchas transurethral resection syndrome, hemorrhea and vesical perforation.The diagnosis of bnign prostatic hyperplasia was confirmed by pathology examination. After 3 months fol ow up survey,the average ISS marks decreased from 24. 5 marks before operation to 6 marks after operation and the max flow ratio (MFRgrew from the 5 ml/s before operation up to 20 ml/s after operation. Conclusion The method is characterizwith less bleeding, smal wound, less complications, quick recovery and short hospitalization time, which is a sand ef ective method for the treatment of senile BPH with vesical calculus.